Kayhan Mashouf DMD Inc
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Freedom, CA
NPI 1699232108 · NPPES record last updated Feb 21, 2019
Key facts
- NPI
- 1699232108
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- Legal business name
- KAYHAN MASHOUF DMD INC
- Practice address
- 270 Green Valley Rd
Freedom, CA 95019 - Phone
- (408) 674-3146
- NPI assigned
- Feb 21, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Kayhan Lawrence Mashouf, DMD
- Title
- President
- Phone
- (408) 674-3146
National Provider Directory
Locations
270 Green Valley Rd
Freedom, CA 95019
Phone (408) 674-3146
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | Yes |
Addresses
Primary practice location
270 Green Valley Rd
Freedom, CA 95019
Mailing address
1762 Hallmark LN
San Jose, CA 95124
Phone (408) 674-3146
Other providers in Freedom, CA
- Jeffrey G. Mace, M.D., Professional Corporation
- John V Crowder Jr MD Inc
- John V. Crowder Jr M.D. Inc.
- William C Kadell
- Anne Morganti Kato
- Jasmine Khuu
- Philip Andrew Knorr
- Damian Lara
- Leroy Mario Rasi, M.D. a Medical Corporation
- Melissa Lopez-Bermejo
All providers in Freedom, CA · Orthodontics and Dentofacial Orthopedics Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.